Park Brian Mickelson in Lancaster - Chiropractor
Park Brian Mickelson - NPI 1164484028
Park Brian Mickelson is a Chiropractor in Lancaster, California. Park Brian Mickelson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Park Brian Mickelson is 1164484028. The last update date is 2007-07-08.
Park Brian Mickelson's current location address is 1314 W Ave J, Lancaster, California. You can contact this provider via phone number 6619454441 and fax number 6619454442. The mailing address for Park Brian Mickelson is 1314 W Ave J, Lancaster, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Park Brian Mickelson |
|---|---|
| Address | 1314 W Ave J, Lancaster, California |
| Phone Number | 6619454441 |
| Fax Number | 6619454442 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1164484028 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1314 W Ave J |
|---|---|
| City | Lancaster |
| State | California (CA) |
| Post Code | 935342936 |
| Phone Number | 6619454441 |
| Fax Number | 6619454442 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC24507 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Park Brian Mickelson by the Centers for Medicare & Medicaid Services?
The Park Brian Mickelson has been issued the NPI (National Provider Identifier) 1164484028, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Park Brian Mickelson?
The Park Brian Mickelson is physically situated at 1314 W Ave J, in the city of Lancaster, state of CA, with the postal code 935342936.
What is Park Brian Mickelson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Park Brian Mickelson is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Park Brian Mickelson receive the assignment of its 1164484028 from the Centers for Medicare & Medicaid Services?
The Park Brian Mickelson was issued its 1164484028 by the Centers for Medicare & Medicaid Services on 2006-04-05.
As of what date was the information pertaining to Park Brian Mickelson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Park Brian Mickelson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1528061710
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